Reimbursement specialist resume examples from 2026
Land interviews using Zippia's AI-powered resume builder.
All resume examples
How to write a reimbursement specialist resume
Craft a resume summary statement
Your resume summary sums up your experience and skills, making it easy for hiring managers to understand your qualifications at a glance. Here are some tips to writing the most important 2-4 sentences of your resume:
Step 1: Mention your current job title or the role you're pursuing.
Step 2: Include your years of experience in reimbursement specialist-related roles. Consider adding relevant company and industry experience as relevant to the job listing.
Step 3: Highlight your greatest accomplishments. Here is your chance to make sure your biggest wins aren't buried in your resume.
Step 4: Again, keep it short. Your goal is to summarize your experience and highlight your accomplishments, not write a paragraph.
Hiring managers spend under a minute reviewing resumes on average. This means your summary needs to demonstrate your value quickly and show why you are the perfect fit for the reimbursement specialist position.Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.
List the right project manager skills
Your Skills section is a place to list all relevant skills and abilities. Here is how to make the most of your skills section and make sure you have the right keywords:
- Look to the job listing. You often need to include the exact keywords from the job description. Take note of the skills listed for the job.
- Put all relevant hard and soft skills in your skills section.
- Be specific. If you are too broad, you may not be giving the best picture of your skills and leave the hiring manager uncertain of your abilities.
- Be up to date. Software names change and companies merge. Don't look out of touch by being careless.
- Be accurate. Spelling and even upper or lowercase can dramatically change meanings. Make sure you are correctly listing your skills.
Here are example skills to include in your “Area of Expertise” on a reimbursement specialist resume:
- Patients
- Customer Service
- Appeals
- CPT
- Medicare
- Medicaid
- Medical Terminology
- HCPCS
- Patient Accounts
- HIPAA
- Home Health
- Medical Billing
- Data Entry
- EOB
- CMS
- Insurance Benefits
- ICD-9
- Insurance Carriers
- Insurance Claims
- Insurance Verification
- Insurance Coverage
- Billing System
- Patient Demographics
- Unpaid Claims
- Credit Balances
- MDS
- Account Balances
- Fee Schedules
- Billing Issues
- Hippa
Zippia’s AI can customize your resume for you.
How to structure your work experience
A work experience section is a vital part of your resume because it shows you have the experience to succeed in your next job.
- Put your most recent experience first. Prospective employers care about your most recent accomplishments the most.
- Put the job title, company name, city, and state on the left. Align dates in month and year format on the right-hand side.
- Include only recent, relevant jobs. This means if you're a fairly experienced worker, you might need to leave off that first internship or other positions in favor of highlighting more pertinent positions.
How to write reimbursement specialist experience bullet points
Your resume is not a list of responsibilities or a job description. Instead, it is your chance to show your accomplishments and show why you're good at what you do.
- Use the What, How, and Why format. Answering these questions turns a bland job description into an effective showcase of your abilities.
- What were your responsibilities or goals?
- How did you accomplish them?
- Why were your results important? (How did it impact your company? Can you quantify the results in numbers? )
Here are effective examples from reimbursement specialist resumes:
Work history example #1
Reimbursement Specialist
UMC PNS
- Worked extensively with SC, NC, GA, and FL Medicaid insurance, as well as Medicare claims.
- Billed and collected payments from commercial insurances, Medicare/Medicaid and self-pay accounts.
- Used HCPC coding, and ICD-9 Coding and Electronic Billing programs.
- Resolved issues with claims such as diagnosis and hcpcs codes.
- Discovered provider error trends which resulted in incorporating more educational opportunities for clinical staff.
Work history example #2
Reimbursement Specialist
TriCore Reference Laboratories
- Maintained close relationship with contracted employees who attempted to obtain Medicaid assistance for eligible patients.
- Collaborated with medicare billing department to clarify and resolve accounting issues.
- Prepared financial models to estimate effect of changes in Medicare reimbursement methodologies on revenues for HealthSouth hospitals.
- Resolved Medicare Part B billing discrepancies by researching suspends and compiling the necessary documentation to collect outstanding revenue.
- Analyzed claims for non-payable ICD-9 Codes & CPT Codes and filed appeals.
Work history example #3
Reimbursement Specialist
Northwestern Medicine
- Processed account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
- Maintained Medicare and Medicaid billing compliance for California, Michigan, North Carolina and Illinois
- Verified Medicare patient benefits and eligibility, processed claims and assisted in claim reconciliation.
- Entered charges and examined CPT and ICD-9 coding while reviewing daily patient charges from doctors of various specialties.
- Assisted Medicare Account Representatives in meetings with Benefit Administrators to review/outline the Medicare benefits structure.
Work history example #4
Reimbursement Specialist
Virginia Institute of Marine Science
- Ensured accuracy of ICD-9 diagnosis codes and documentation of the OASIS-C prior to billing.
- Assigned ICD-9 coding for appropriate terminal diagnosis (attended conferences for proposed ICD-10 coding in 2008 & 2009).
- Entered demographics for radiology patients, mailed out CMS1500 Claim forms and trained in rejections and AR accounts.
- Maintained strictest confidentiality according to all HIPAA guidelines, rules and regulations.
- Verified in and out of network benefit coverage and insured that CPT codes were covered and how they were paid.
Zippia’s AI can customize your resume for you.
Add an education section to your resume
The education section should display your highest degree first.
Place your education section appropriately on your resume. If you graduated over 5 years ago, this section should be at the bottom of your resume. If you just graduated and lack relevant work experience, the education section should go to the top.
If you have a bachelor's or master's degree, do not list your high school education. If your graduation year is more than 15-20 years ago, it's better not to include dates in this section.
Here are some examples of good education entries for resumes:
High School Diploma
2013 - 2013
Highlight your reimbursement specialist certifications on your resume
Certifications are a great way to showcase special expertise or niche skills. Some jobs even require certifications to be hired.
Start simple. Include the full name of the certification. It's also good to mention the organization that issued the certification. Next, specify when you obtained the certification.
If you have any of these certifications, be sure to include them on your reimbursement specialist resume:
- Certified Billing and Coding Specialist (CBCS)
- Certified Coding Specialist (CCS)
- Certified Medical Office Manager (CMOM)
- Certified Professional Biller (CPB)
- Certified Management Accountant (CMA)
- Managed Healthcare Professional (MHP)
- Certified Medical Insurance Specialist (CMIS)
- Certified Public Accountant (CPA)
- Certified Medical Coder (CMC)
- Certified Medical Reimbursement Specialist (CMRS)